Wachtel, Mitchell Steven

Wachtel, Mitchell Steven is an individual health care provider with primary practice located at 3601 4Th St 1A115, Lubbock TX 79430-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Wachtel, Mitchell Steven can be contacted via phone (806) 743-2155.

Contact Information

Primary practice address
3601 4Th St 1A115 Lubbock TX 79430-0002
Phone: (806) 743-2155
Fax: (806) 743-2117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X K9929 Texas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X K9929 Texas

Profile Details

NPI number 1538164512
LBN Legal business name Wachtel, Mitchell Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 12th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538164512 NPPES
Other A012 TRIWEST
MEDICAID 03237354 TRIWEST
MEDICAID 88841 TRIWEST
Other 8P8410 TRIWEST
Other 8P8250 TRIWEST
Other 88841 TRIWEST

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